ARCHETYPE Palpation of a fetus (openEHR-EHR-CLUSTER.palpation_fetus.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.palpation_fetus.v0
ConceptPalpation of a fetus
DescriptionFindings observed during the palpation of a single fetus in utero.
UseUse to record a narrative description and clinical interpretation of the findings observed during the palpation of a single fetus in utero, including during labour. Use this archetype to record the details about a single fetus; in pregnancies with multiple fetuses, details about each fetus will be recorded in a separate instance of this archetype. This archetype has been specifically designed to be used in the 'Examination detail' SLOT within the CLUSTER.exam-abdomen, CLUSTER.exam-uterus or OBSERVATION.exam archetypes, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. Use to provide a framework in which CLUSTER archetypes can be nested in the 'Examination findings' SLOT to record additional structured physical examination findings - for example, specific abdominal or vaginal findings. The CLUSTER.exclusion_exam archetype can be nested within the 'Examination not done' SLOT to optionally record explicit details about the examination not being performed. Use to incorporate the narrative descriptions of clinical findings within existing or legacy clinical systems into an archetyped format, using the 'Clinical Description' data element.
MisuseNot to be used for recording the clinical history - use specific OBSERVATION and CLUSTER archetypes. For example OBSERVATION.story and CLUSTER.symptom_sign.
PurposeTo record a narrative description and clinical interpretation of the findings observed during the palpation of a single fetus in utero, including during labour.
ReferencesDerived from: Palpation of fetus, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2007 Apr 19. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1024_2 (discontinued).

Original archetype: Examination of the fetus, Rejected archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2018-04-11]. Available from: http://www.openehr.org/ckm/#showArchetype_1013.1.277
Copyright© Northern Territory Department of Health (Australia), openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2007-04-19
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2007-04-19
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Derived from: Palpation of fetus, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2007 Apr 19. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1024_2 (discontinued). Original archetype: Examination of the fetus, Rejected archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2018-04-11]. Available from: http://www.openehr.org/ckm/#showArchetype_1013.1.277, current_contact=Heather Leslie, Atomica Informatics, Australia, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=CABCAA9A22CF2795E99D57C35EFBD25C, build_uid=b8d263a5-0321-4661-8107-968018be92f3, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org., revision=0.0.1}
Keywordsuterus, fetus, foetus
Lifecyclerejected
UID99d05e31-11b9-4169-8d62-89a75c57af47
Language useden
Citeable Identifier1013.1.3191
Revision Number0.0.1
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=[SNOMED-CT::249056009 | Finding of fetal parts (finding)], archetypeConceptDescription=Findings observed during the palpation of a single fetus in utero., archetypeConceptComment=null, otherContributors=Rita Apelt, Department of Health,NT, Australia
Stephen Chu, NEHTA, Australia
Tim Garden, NT Department of Health, Australia
Sam Heard, Ocean Health Systems, Australia
Heather Leslie, Atomica Informatics, Australia (Editor)
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom
Jeremy Oats, NT Health, Australia
Jo Wright, NT Dept of Health, Australia, originalLanguage=en, translators=Norwegian Bokmål: Silje Ljosland Bakke, Nasjonal IKT HF
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